A pediatric cardiologist is a physician who has received extensive training in diagnosis and treating children’s cardiac problem. Evaluation and treatment may begin with the fetus since heart problem can now be detected before the birth. He/she is also trained to look after adults who were born with heart problems. When a pediatrician suspects a heart problem, he or she may ask a pediatric cardiologist to investigate further. Common causes for a referral to the pediatric cardiologist includes heart murmurs, chest pain, dizzy spells or palpitation. Initial evaluation may result in-patient and his/her parents being reassured that there is nothing to worry about. A pediatric cardiologist is trained to perform and interpret procedures such as echocardiograms and exercise test. In case of more significant heart disease, a pediatric cardiologist may perform a cardiac catheterization in order to diagnose or treat child’s heart problem. If the child needs to be hospitalized, the pediatric cardiologist & pediatric cardiac surgeon work together in planning cardiac surgery, when needs. However, in all cases the pediatric cardiologist is there every step of the way.

On most occasions you will get results from the physician immediately.

Typically new patients visit last approximately 40-60 minutes.

It is always advisable to take prior appointment to save your waiting time. However in case of other emergency or operation being performed, you may have to wait longer.

No, but most are. There are generally three categories of possible childhood heart problems: structural defects, acquired damage and heart rhythm disturbances. These defects are usually – but not always – diagnosed early in life. Rarely, childhood heart problems are not congenital, but heart damage may occur during childhood due to infection. This type of heart disease is called acquired; examples include Kawasaki disease and rheumatic fever. Children also can be born with or develop heart rate problems such as slow, fast, or irregular heartbeats, known as “arrhythmias”.

Anyone can have a child with a congenital heart defect. Out of 1,000 births, nine babies will have some form of congenital heart disorder, most of which are mild. If you or other family members have already had a baby with a heart defect, your risk of having a baby with heart disease may be higher.

Most of the time we do not know. Although the reason defects occur is presumed to be genetic, only a few genes have been discovered that have been linked to the presence of heart defects. Rarely the ingestion of some drugs and the occurrence of some infections during pregnancy can cause defects.

Virtually all children with simple defects survive into adulthood. Although exercise capacity may be limited, most people lead normal or nearly normal lives. For more complex lesions, limitations are common. Some children with congenital heart disease have developmental delay or other learning difficulties.

Successful treatment requires highly specialized care. Severe congenital heart disease requires extensive financial resources both in and out of the hospital. Children with developmental delay also require community and school-based resources to achieve optimum functioning.

The presence of a serious congenital heart defect often results in an enormous emotional and financial strain on young families at a very vulnerable time. Patient/family education is an important part of successful coping.

Treatment depends on the type and severity of the condition. Some children won’t require any treatment, while others may need medication or heart surgery. There are also other new techniques and procedures that, in some cases, can be done instead of surgery. Fetal Cardiology: Ultrasound scanning of pregnant women with suspicion of, or known congenital heart disease in the unborn child

Why do it? About 8-10 per 1000 live births are complicated by heart disease in the babies. 50% of still births are caused by heart disease in babies. 50000 babies die every year in our country before their first birthday due to their untreated heart disease. Many of heart disease are completely curable and parents get the time to prepare for the problems

When to do it? Tran abdominal or external fetal echo can be done any time, ideally between 16-18 weeks of pregnancy

1. Elderly mothers > 35 years.

2. Having previous child with heart disease.

3. Mothers getting viral fever, rash, joint pain in the first 3 months of pregnancy.

4. Routine ultrasound showing other malfunctions of fetus.

5. Routine ultrasound showing very high very slow heart rates in fetus.

6. Unexplained repeated abortions

7. Unexplained early child deaths.

8. Family having history of heart disease.

Usually pediatric cardiologists or fetal medicine specialist. A pediatric cardiologist not only does the echo but also explains you about the type of heart problems, the treatment for it, & treats the child after delivery.

no, it is painless without any no side effects on baby and mother.

1. It allows parents to understand the heart problems in unborn baby and prepares them psychologically at the time of delivery.

2. In extremely complicated cases termination of pregnancy is advised.